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英国分级诊疗影响因素分析及启示

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英国分级诊疗的影响因素可归纳为核心层(包括体系设计类、基础设施类和资源投入类)和准则层(制度设计类)两个层次,核心层影响因素是形成分级诊疗格局的关键制度基础。借鉴英国分级诊疗的运行经验,我国应构建以初级卫生保健为重点、全科与专科分开的医疗服务体系,鼓励医生自由执业,从资金支持、政策引导等方面保障医疗服务的连续性,重视医疗卫生信息化建设,从而进一步优化落实分级诊疗制度。
Analysis of Factors Influencing Graded Diagnosis and Treatment in the UK and Its Implications
The influencing factors of hierarchical diagnosis and treatment in the UK can be summarized into two levels:the core layer(including system design,infrastructure and resource input)and the criterion layer(system design).The core layer factors construct the key institutional foundation of the hierarchical diagnosis and treatment pattern.Drawing on the experience of the UK's hierarchical diagnosis and treatment,China should build a medical service system focusing on primary health care and separating general practice from specialty,encourage doctors to practice freely,ensure the continuity of services from the aspects of financial support and policy guidance,and attach importance to the construction of digital medical and health information,so as to further optimize the implementation of hierarchical diagnosis and treatment system in China.

hierarchical diagnosis and treatmentinfluencing factorshierarchyUK

朱惠敏、李文敏

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湖北大学公共管理学院,湖北武汉 430062

分级诊疗 影响因素 层次结构 英国

2025

卫生经济研究
华东卫生经济研究协作会

卫生经济研究

北大核心
影响因子:1.01
ISSN:1004-7778
年,卷(期):2025.42(1)